Conference Registration Form with Payment

Online Payment Registration
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
E-mail*
example@example.com
If you are bringing family, list names please:
If you would like to discuss additional meal tickets with Julie, please check the box below.

Questions: Contact Julie Sumpter:719-980-0460 or juliesumpter2@gmail.com

My Products

Full Convention

$100.00 Quantity

Thursday Only

$40.00 Quantity

Friday Only

$40.00 Quantity

Friday Only, Student*includes breakfast and lunch

$10.00 Quantity

Saturday Only

$40.00 Quantity

Convention access via Zoom

$50.00

Donation to help with miscellaneous expenses

$ Free

I need to talk to Julie about additional meals:

$ Free

Total

$0.00

Online Payment Registration